WEEE collection form First name* Name* Email Address* Lifting address * Phone What do you want to teach? * (Minimum 50 kg. Example: washing machine / Fridge / more electrical waste exceeding 50 kg, etc.) I hereby confirm that I have read Information regarding the processing of my personal data and I express my consent to the processing of my personal data in order to receive the answer to the request sent. I understand that, if I do not give my consent by ticking, this form will not send my data to the ECOTIC ASSOCIATION and I will not be able to be contacted according to my request.